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k SAN JO`� COUNTY PUBLIC IIEALTHRVICES ter, <br /> P O Box 388 T• SrrocKmN, CA 95201-0388 • PnoN6 (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br />'F ENVIRONMENTAL HEALTH <br /> r OPERATING PERMIT FOR UNDERGROLM STORAGE TAt#,' FACILITY <br /> Tank Tank Perot Annual Petmit Fee Valid <br /> P/E lamer Record 10 timber CapacityContents Permit Stags From To <br /> 23N 441 TAIMI 004419 12,OW Unlea d MR- lona Permit 01101/99 1273175S <br /> _ <br /> 2?484 442 TAi43342 OU419 14,000 Unleaded 42 Conditional Permit 01/01/55 12131/95 <br /> 2380 003 TA10n03 444424 4,000 Unleaded 02 Conditional Permit 01101195 12/31/95 <br /> iF <br /> F <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will ',---come void if NSA PERMIT Fees and SERVICE Fees are not Paid and/o- tt* l�Ul system(s) fails <br /> to remain in compliance with the KP14IT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAF( SER who accepts responsibility for operating and monitoring the UST system <br /> i according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3} The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the MITTEN <br /> OPWTING AGREEPW required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TAW 00 shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system_ <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A constructim or removal permit is required from the Environmental Health Division Prior to any rer;-wal or <br /> change of UST"system equipment. <br />` 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> 'federal, state or local agencies. <br /> 3) -A 'Conditional Permits may revolted if corrections are not completed by the date(s) specified on inspection. <br /> gg <br /> PERMIT TO OPERATE an UST FACILITY issued to.- QUICK N ;NAVE <br /> 007 S EL DORADO <br /> STOCKT►tN, CA 95206 <br /> x'06 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. # <br /> THIS FORM MUST BE'DISPtAYED COWPICUOUSLY, ON THE PREMISES <br /> _w:REOA ATM FACILITY: QUICK N SAVE Account 10: 0003314 <br /> . 2057 S EL DORAD+: Facility ID: 0037:3.5 <br /> STOC:k::T 3N, CA SS SOS Posit Printed; C}8/11/95 <br /> BILLING AD SS: <br /> QUICK N SAVE <br /> ATTN: QUICK N .SAVE <br /> 2057 S EL DORADO <br /> STOC:}=::TON, CA 9S206 <br /> y. h � <br />